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may result in forfeiture of contractual payments. <br />I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid <br />for public works are true and correct. <br />Dated this 9th day of May , 2023 <br />rs North; Inc. <br />of Contractor/Bidder or Its Agent <br />Dustin P. Hilary, Director of Estimating <br />Printed Name and Title <br />Subscribed and sworn to before me this 9th day of Ma 2023 <br />My Commission Expires 6/5/2030 <br />Notaryis Alisha K ger <br />County of Residence LaPorte <br />c�Y Py <br />My Commission Exp'res <br />_* SEAL :* <br />i <br />June 5, 2030 <br />Commission Number NP0653544 <br />b`e <br />La Porte Courtly <br />Version 09/29/2021 Contractor's Bid for Public Works - 6 <br />